在韩国,使用人工智能进行肺癌查的胸部X射线扫描的成本效益
KyungYi Kim1, Jung Hyun Kim2, Jaeyong Shin3
1Department of Biohealth Industry, Graduate School of Transdisciplinary Health Sciences, Yonsei University, Seoul, Republic of Korea.
Scientific reports
|November 29, 2025
概括
人工智能 (AI) 辅助的胸部X射线 (CXR) 是韩国一个具有成本效益的肺癌查策略. 这种人工智能辅助的方法为国家查计划提供了经济可行性和可扩展性.
科学领域:
- 医疗成像医学成像
- 卫生经济学 卫生经济学
- 人工智能的人工智能
背景情况:
- 肺癌查的准确性和效率可以通过人工智能 (AI) 提高.
- 人工智能在肺癌查中的经济价值仍然不确定.
- 韩国缺乏人工智能辅助肺癌查的既定指南.
研究的目的:
- 评估韩国五种肺癌查策略的成本效益.
- 将人工智能辅助的胸部X射线 (CXR) 和低剂量计算机断层扫描 (LDCT) 与传统方法进行比较.
- 确定将AI整合到国家肺癌查计划中的经济可行性.
主要方法:
- 开发了一个结合决策树和马尔科夫模型的决策分析模型.
- 模拟涉及1万个按年龄和吸烟状况分层的假设群体.
- 分析使用了4.5%的折扣率和每QALY的支付意愿门为32,409.9美元.
主要成果:
- 在所有年龄组中,人工智能辅助的CXR展示了每QALY8679美元至10,030美元的增量成本效益比率 (ICER).
- 与人工智能辅助的CXR相比,单独CXR的效果不太好.
- 基于LDCT的策略,包括人工智能辅助的LDCT,超过了支付意愿的门.
结论:
- 人工智能辅助的CXR为肺癌查提供了一个可扩展和经济可行的策略.
- 这种方法支持将人工智能辅助的CXR纳入国家查计划的潜在整合.
- 人工智能辅助的CXR为肺癌检测提供了成本效益和临床效益的良好平衡.
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